Answer this question truthfully
### Question: What causes Encopresis?
### Response: Encopresis is frequently associated with constipation and fecal impaction. Often, hard fecal material remains in the colon and the child only passes a soft or semi-liquid stool around the impacted stool. Leakage of stool may occur during the day or night. There are rarely physical causes other than constipation (sometimes present since infancy).
Other causes may be related to:
A lack of toilet training Toilet training at too early an age Emotional disturbance such as oppositional defiant disorder Conduct disorder
Whatever the cause the child may develop associated shame, guilt, or loss of self-esteem. The child may try to hide the discovery of the problem.